Whats your biggest pet peeve working in the ED?
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Id have to say my biggest pet peeve is when someone hands you a medicaid card as they pull it from their Louis Vuitton handbag with bling on their hands after having rolled up to the ER in their... Read More

^^I just chart 10 when they do that. And also, when I'm assessing a medication's effectiveness, "did the medicine help you?" "Yes, a little." "What would you rate your pain now, 0-10?" "10." *Eye roll, chart 9/10.

I want to step on their big toe with the heel of a stiletto shoe and tell them THAT is a 10!

Jan 13, '13

Last nights peeve

Doctors prescribing stat meds , but keeping the chart, not telling you about it and then having a go at you for not giving it to the patient.

I never mentioned anything about needles on my post. This is about sensation. My blood sugar seems to drops everytime I get blood withdrawn, so I pass out. I do not pass out by getting pierced or tattooed. What's so difficult to understand?

Really....that's unlikely due to your blood being drawn. You do not lose enough blood to even touch your blood sugar.

I never mentioned anything about needles on my post. This is about sensation. My blood sugar seems to drops everytime I get blood withdrawn, so I pass out. I do not pass out by getting pierced or tattooed. What's so difficult to understand?

Drop in blood sugar? So, you only regain consciousness after your blood sugar is corrected?

You'll learn about vaso-vagal effects in class. Or you can google it.

Jan 13, '13

Vasovagal syncope (vay-zo-VAY-gul SING-cuh-pee) is the most common cause of fainting. Vasovagal syncope occurs when your body overreacts to triggers, such as the sight of blood or extreme emotional distress. The trigger results in vasovagal syncope &mdash; a brief loss of consciousness caused by a sudden drop in your heart rate and blood pressure, which reduces blood flow to your brain.

Jan 13, '13

The patient with no veins that tells me I get one stick and that's all.

Jan 13, '13

Quote from Lynn Jenkins

The patient with no veins that tells me I get one stick and that's all.

Yup! Even better when they have no veins thanks to a 20 year hx of IVDA! Sorry buddy, not my problem!

Jan 13, '13

I wish you could order a "stat" audiology test for people that rate their pain more than a 10 or tell them it is policy to state they are lying if its more than 10..tee hee

Jan 13, '13

I chart what they say and if it is over 10 I leave it blank and make a comment
THEN I FLAAC score their pain(typically its a 0) and make sure to write a note in the interdisciplinary not as to summarize my findings...very useful if behavioral med gets involved...

Jan 16, '13

The 10/10 abd pain while playing Solitaire on cell...the woman bringing her kid in for a pillow line on her face, asking for a 3 day excuse from work.....the guy telling you to push the Fentanyl "really fast" because you're not giving him enough...poorly staged 10/10 shoulder pain with a novel of narc fills whose girlfriend screams at him at the door for "not getting the right sh*t"......the cranky old nurse who tells you the registration clerk knows more about triage than you (after she b*tched that I should have taken the earache who arrived 10 minutes before the 4 week old with projectile vomiting)...